HomeMy WebLinkAboutBLD2024-01005 - BLD CD Environmental Health Review - 8/16/2024 MASON COUNTY PermltNu: 6Ln2oOto(
COMMUNITY DEVELOPMENT
Permit A0 nce Center,Building,Planning RECEIVED
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACT INFORMATION: AUG 15 jY
NAME,Den]PraPWee,bm NAME:Nw Dlemt Canewlwn.I� a�a,„��
MAILING ADDRESS'�"N Henibn RD MAU24G ADDRESS:281nHeMem RD Jypp.
CITy:chrad. STATE:WA Massal. CITY:cbe^eY STATE:WA
PHONE#LmW4110a�a PHONE:W?`iar"° CELL:
PHONE"" Pa EMAIL
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CONTACT: OWNER❑ CON11MMR0 OEMAIL MERO ,w n �
MAILINGADDRPSS tgNAME ]fl1eN NmtBmn RD CITY cmh+s STATE WA ZIPro�? 21 , R
PHONE=74"'eae CALL M o �`
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PARCEL INFORMATION: rj2024- 1:5- 60ObO '`-
PARCELNUMBER(12Di9rNvmba} � ZONING
LBOAL DESCRIPTION(Abbmimed) FBIE DISTRICT 18
SITE ADDRESSI�H�ene�R0T 9) CTTYN'efl°n
DIRECTIONS TO SITE ADDRESS H"4"tlanwue.saaNmmiunw+e.vasrwasNmecTunpoamwwrdanw�
CmNeue or0e W Strelmn NatlmA M:Tum]eR mM W HIPNad RG
ISTBEPROIRCT�3Wn OFSTAPF.(S)4 TBRTHA 14%: YES[] NO[] SNOWI.OAD:3L—Fd
ISPROPERTYW1TREi200FTOFTTIEFOLLOWING: Nad+ubmaaAl:
SALTWATER❑ LAKE❑ IRIVESCREEK❑ POND❑ WETLAND❑ EEASONALRUNOFF❑ STREAMS
TYPE OF It NEW O ADDITION❑ ALTERATION❑ REPAIR O OTC O
USEOF STRUCNRE(wrsw.«rnec�aN%A`) SIpIHemRy ievNera
M IJSR PRIMARYO SEASONAL❑ NUMBEROFBEDROOMS3 NIIMBEROFBAJHROOMS?
,,,MDSTRUCTURB? YES(inoleRualO YES? )o/ax(rl❑ NO❑
DESCRIDE nmtMadweo tmnnwlEeclw;wmemb_MWmNetgweg
SQUARE FOOTAGE•m-mn
ISTFLOORIM eq.R 2NDFLDOR K.R 3RDFLOOR_K.R BASEMINT_K-S'
DECRS2 e4.R COVEREDDECK_e4. 1 STORAGE K.R OTHER RI.R
GARAGE_K.R AtraeW❑ Derudbd❑ CARPORT at.R Avadbd❑ Del ltd❑
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKEFI!a! Homs MODELpta° N YEARS LHNGTH�
",,M Ne BEDROOMS BAms. SERA.NUMEBRTO beeWpnee
FNVIROINMFNTAL HEALTH•
SEWAGEISEWERSOURCE: SEPTICO SEWER❑ ( NEW Qe EmSTING❑
PLUMBINGINSTRUCTURE? VEsO NO[I ryas,aumb eomE?atd lPa>a Adegrrv.Y Fore
PERIDffirBRRIPOUNDATION DRAINS PROPOSED? YES❑ NOO EIISTINGSQ.FT.
EKI.SDNG BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS
OWNER xhnmNeages that Bubo whoa WI nactut.Inlwmhaao"nu.it In azmp xwk atler or pe,,r mvwNon.MfavM IarantdvYAYb1
.]gremre below.i aeoam that 1 am the owner am]esueeramlaren I a %Be�mere�ngar,to n.a Pqw.Trare Pwme,e'urgl
amelnea'-a.bntinaume—oo sahib.,i,ww`eanr.e.
rea,esaaur a,rer.eaenm uataa mm�ar n pmweea m amneme emms e,ngovaa.of Meaon conntr esc�mna.lw.a mwbea aw.b
moor n ero8a�u�w"a.usaanJea fa a Pe m a�i�ary.bewmea nuo fl volo E wn ur ewwiima a,mm,dwn h nacanmeMea..ean t9a
PROOF OF CO NUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP CATION OF 180 DAY OF MORE NTY CODE CAUSE
E THE APPLICATION TO BE EXPIRED.(MASON
7/30/2024
K R Deb
s Ne ER
DEP 'TI.ILNTAL REVIEW APPROVED DATE DAD DATE TAGS/NOTRS/CONDFTIONS
BUIIAINGDEPARTMENT
PLANNINODEPARTMENT
FIRE MARSHAL n
PUBLICHEALTH T r1,14
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